King, Graham

❑CAMA /❑ DREDGE & FILL l 1 1 C NQ 78468 A B C D
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Departmenetof Environmental Quality /
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Y'
❑Rules attached.
Applicant Name Project Location: County
Address, )(11 Street Address/ State Road/ Lot #(s)'
City ti State 11 ZIP
Phone # ( �_i ) r E-Mail Subdivision
r /
Authorized Agent \ City, i f i 1 f .L /' ZIP_ _
Affected O CW �1fj�IEW PTA ❑ ES ❑ PTS
AEC(s): OEA LJHHF IH ❑UBA ❑N/A
❑ PWS: F
ORW: yes 11 no PNA yes /f no !1
Phone #, ( _. ). River Basin _
Adj. Wtr. Body _ _ (nat /man /unkn
Closest Maj. Wtr. Body
■■■■■■■■■■ ■■
■■■■■■■■■■■�■■
■■■■■■■e■■■u■■■■C..■■■■■m■■■■.C■■
B■■■■■■■■�■■■
mom ■■.■man■■■
0■■■■■le■■
■■■■�[1■■■■l/ �V�[!■■■C
v■u■■■■
1■■■ME
■■■
■■■
J■n■
M
momC■M■®
�e0
MCC■■CCC■C
[
CM
r
.■■M■■■■.®■//■■.■■■MCi■��C
ONE
.0
No
on
■
M12�aliVd■■■■■■■
®■■■■■■r■.■ems
ll■■■■■
MOM
H■■■■■■�
1■■■■■■■■■■
■ME
■■■■■■�■
■�IMMM
:■mom
:
�
IC�CCBC
�■u■C■
C CC C�MC� C/■J■ �■■
•
■■■■■■■ r/■■■ ■■■■■■■■■■■■■■■
■■■.■�. ■■■■■■NH■■■..■■C
MEN ME
CC : CCCCC■■
C■C■C■CM
��■�CCC■■■�'■C'■soo■nC
■®GCMG■MCC
'®M� MMCCCC
C
CM=CC CM.. ......0
q■C
IN
or Applicant Printed Name
Signature •r Please read compliance statement on back of permit••
Application Fee(s) Check# Issuing Date Expiration Date

Styron, Heather M.
From: Graham King <[e-mail]>
Sent: Wednesday, January 29, 2020 1:33 PM
To: Styron, Heather M.
Subject: [External] RE: Dredeging Permit
Attachments: doc07318420200129131443.pdf
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
e}1ort.,par�ti�nc.g��u
Heather
Good afternoon, I have attached Riparian Statement with signatures as requested.
Please let me know what additional information you may need.
Thank you,
Graham King
From: Styron, Heather M.[mailto:[e-mail]]
Sent: Wednesday, January 22, 2020 10:26 AM
To: [e-mail]
Subject:
This email has been checked for viruses by AVG antivirus software.
AVG. www.avg.com
1

ADJACENT RIPARIAN PROPERTY OWNER
LL STATEMENT
r" eT S9n es. 1 hereby certify that I own property adjacent to � . /-.. Is
t (Name of RtN5erty Owner)
property located at
on bCb-l- Gl"Ge_t L�,,.....In, :�',�Oe-� Serit"jGr•�I , N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signutur e
Print or Type Name.
lyJai/ing Addr /
G-'
(Adjacent Property Owner Information)
,Vignut
Print or Type Name
Telephone Number
Date
(Revised 611812012)

ADJACENT RIPARdAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Proper/ ner
property located at J— %L , V C) )✓ i�,,�q `. l i r-
(Address, Lot, Bloc c,-Road„etc.)
on _ f} �o rK —,in o C i. o N.C.
(Waterbody) �I (ityrrdwn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish -to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si na ure Signature)
4 0C-4 Oi i M
Print or Type Name r Print o Type Name
A)e.:Jse /�J fir'/ // .��2 tif_..
lJ„•
Mailing Ad ress Mailing Address '
r,�,>7P a .%
cilylstalelzip GfylstetelZip
Telephone Number Telephone Number
/-
Dale Date
(Revised 611812012)